AMANDA E ENNEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

ENNEN

Business Name

AMANDA E ENNEN

Original Issue Date

05/10/2013

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

GREENVILLE

State

Zip

62246

County

BOND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021